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Society For The Prevention Of medical Mass Murder

You appear to be claiming you can get from an "ought" to an "is". How does that work? By what line of reasoning do you conclude that the factual question of whether X causes Y turns on a moral judgment of who has which duties?

The question is not whether X causes Y.
Why do you think that's not the question? CC wrote "If passed, Trumpcare will cause many to die who otherwise would live.". Any reason in particular that his factual claim should get to have immunity from being checked to see if it's true?

It's whether X can be justly claimed to cause Y, which is a question of opinion, not fact. I'm going from an ought to an ought.
If that's the question, and whether X causes Y is not the question, that would imply that whether X can be justly claimed to cause Y does not depend on whether X causes Y, or on whether the claimer has good reason to believe X causes Y, or even on whether the claimer has had his nose rubbed in evidence that X does not cause Y. I.e., you appear to be endorsing pious fraud. Are you endorsing pious fraud?

People who consider themselves to be moral ought to believe that the government ought to support the health of its citizens. Because in my opinion, those who do not are <expletives deleted>
So, in your mind, one of the requirements for not being evil is accepting the approved set of beliefs. Good to see the Enlightenment's centuries-long struggle against religion has made such progress. Consider your criterion for evil stipulated. Is it also your opinion that people who consider themselves to be moral ought to deliberate tell falsehoods about people they have classified as evil?
 
Isn't health insurance pooling resources in order to best help those in need?

I don't think UHC is stealing, or even for paying for another's care. I see it more as a mandatory health insurance. Everybody sensible has health insurance. People who don't, are necessarily suffering from some sort of mental problem.

So the real moral question is whether or not the rest of society has a responsibility to help the mentally afflicted pay for stuff they need.

But I know what libertarian will say. State regulation is mostly deciding on how to use force. Is this something we want to use force for? Do we really want to threaten people with punishments because they refuse to buy something we know they need. I say yes. Because are species is a species of morons. But I completely understand those who disagree.
 
:consternation2:
If health is a human right, a right of everyone, because all humans have "inherent value" (whatever the heck that is), then how the bejesus do you figure you can possibly justify our government confiscating people's resources in order to provide health to Americans?!?...

I must admit that I'm stumped. Very few human rights are realisable when one state is burdened with the obligation to provide for the entire world's population.
That depends on which things are human rights. When the concept of human rights was invented, they were easily realizable, because they didn't cost much, because the concept was much more about having the right to be left alone than about having the right to make other people do stuff for you. For instance, the U.S. Bill of Rights lists 36 distinct human rights. 35 of those are rights to have other people not do stuff to us. 1 of them is a right to make other people do stuff for us*. Universal human rights only become too big a burden for a state to realize when we loose our self-imposed reins on our power over others, and keep adding more and more rights to make other people serve us.

(* That 1 right is the right to make a witness testify at your trial.)

Healthcare for all is a desirable goal, but I think it's unreasonably burdensome while we lack the political structure to set up an effective system of that scope and scale.
The point of calling it a "right of Americans" is to short-circuit the discussion of where the line between unreasonably burdensome and reasonably burdensome is, deny that "unreasonably burdensome" is a valid concept, and poison the well by calling anybody who wants to have that discussion a medical mass murderer.

I guess it shows that utilitarianism is useful as a guide to domestic policy but creates unreasonable demands when applied at a global scale.
It isn't though. If we were using utilitarianism as a useful guide to domestic policy, the question we'd ask about Obamacare is whether it speeds up or slows down our economy's growth, because a faster-growing economy will let us spend more on foreign aid, which is where we can get the biggest utilitarian bang for our buck.

The ranking of values expressed by "Do Americans have a right to decent health care, or just a privilege, a privilege withdrawn if it means the rich lose tax cuts." is as follows:

1. Americans' lives
2. Americans' property rights
3. Foreigners' lives

"Maximize the total happiness of Americans" is not a rough-and-ready approximation of "Maximize the total happiness of humans." It's an opposing principle. Calling it "utilitarianism" is the most hypocritical moral theory since Jefferson said "All men are created equal, they have the right to life, liberty and the pursuit of happiness, and I'm keeping my 200 slaves."


I see your point, and I recognise that there's something missing from my reasoning to avoid such unreasonable demands on people. As I said above, utilitarianism is useful for public policy, but perhaps there needs to be some provision that avoids the need to inflict serious pain on one person in order to prevent slightly more pain in another person. There's considerable difference between confiscating a person's property and confiscating their organs.
There certainly is; but there isn't as far as the "Maslow's hierarchy of needs represents the way in which humans tend to prioritise their needs." argument is concerned. The point isn't that it's wrong to take people's money to pay for health; the point is that if you want to show "Americans have a right to decent health care, not just a privilege, and their right trumps rich people's right to their property." you need a better argument than that.

I don't think that would be the appropriate response in the context of this thread. Firstly, this a is thread about the morality of UHC. Secondly, Bomb#20 raised a clear objection to UHC: that taxpayers should not be required to pay for it because such a system requires that we take property from some people to provide healthcare for others.
No, I didn't. Go back and check if you don't believe me -- see if you can find anything that looks like a moral claim. I raised clear objections to unsound arguments.
 
Isn't health insurance pooling resources in order to best help those in need?

I don't think UHC is stealing, or even for paying for another's care. I see it more as a mandatory health insurance. Everybody sensible has health insurance. People who don't, are necessarily suffering from some sort of mental problem.

So the real moral question is whether or not the rest of society has a responsibility to help the mentally afflicted pay for stuff they need.

But I know what libertarian will say. State regulation is mostly deciding on how to use force. Is this something we want to use force for? Do we really want to threaten people with punishments because they refuse to buy something we know they need. I say yes. Because are species is a species of morons. But I completely understand those who disagree.

A national health service covers the health of the nation. Those who don't like it should go to Antartica and take plenty of healthy exercise. If people don't care about the other people in their nation, what use are they to anyone? Best shoot them.
 
A national health service covers the health of the nation. Those who don't like it should go to Antartica and take plenty of healthy exercise. If people don't care about the other people in their nation, what use are they to anyone? Best shoot them.

Like I said... ideological conflicts.

Me personally, I don't really care so much about ideology when it comes to health service. I just want what's best for me. The best bang for the buck. And national health care does that.

I live in Sweden. We've been doing this now for half a century, and it's a kick-ass system. We've been tweaking it along the way. We made plenty of mistakes. But fixed it. In the 90'ies we reached a sweet spot, and that's what we've had since. At this point it's working great, and there's nothing to fix. This BTW isn't the Swedish model. It's a health care model first developed by the French. They've still got it. 15 years ago (I think it was) the UK switched to the same system, and it's working great.

Why not leave ideology out of this, and just pick whatever system works the best?
 
A national health service covers the health of the nation. Those who don't like it should go to Antartica and take plenty of healthy exercise. If people don't care about the other people in their nation, what use are they to anyone? Best shoot them.

Like I said... ideological conflicts.

Me personally, I don't really care so much about ideology when it comes to health service. I just want what's best for me. The best bang for the buck. And national health care does that.

I live in Sweden. We've been doing this now for half a century, and it's a kick-ass system. We've been tweaking it along the way. We made plenty of mistakes. But fixed it. In the 90'ies we reached a sweet spot, and that's what we've had since. At this point it's working great, and there's nothing to fix. This BTW isn't the Swedish model. It's a health care model first developed by the French. They've still got it. 15 years ago (I think it was) the UK switched to the same system, and it's working great.

Why not leave ideology out of this, and just pick whatever system works the best?

To pay twice as much for private insurance and condemn the poor to death is so sick I don't see why you are getting involved in such bullshit. America is dominated by money-mad clowns, and it seems a silly arrangement.
 
Like I said... ideological conflicts.

Me personally, I don't really care so much about ideology when it comes to health service. I just want what's best for me. The best bang for the buck. And national health care does that.

I live in Sweden. We've been doing this now for half a century, and it's a kick-ass system. We've been tweaking it along the way. We made plenty of mistakes. But fixed it. In the 90'ies we reached a sweet spot, and that's what we've had since. At this point it's working great, and there's nothing to fix. This BTW isn't the Swedish model. It's a health care model first developed by the French. They've still got it. 15 years ago (I think it was) the UK switched to the same system, and it's working great.

Why not leave ideology out of this, and just pick whatever system works the best?

To pay twice as much for private insurance and condemn the poor to death is so sick I don't see why you are getting involved in such bullshit. America is dominated by money-mad clowns, and it seems a silly arrangement.

I don't think the money madness is the problem. How is USA more money mad than Sweden? We both want the same thing. We both want good value top-notch health care. We don't like waste. Economically, Sweden is stronger than it's ever been. If we'd put welfare above economic growth, Sweden wouldn't be economically strong. So that's not the difference.
 
Orrin Hatch, Senator from Utah is angry that Bernie Sanders has denounced the GOP Trumpcare plans as surely going to cause many people who will lose health care under the GOP plans to die, over time.

The problem is, many experts in the health care field have declared that if passed, the GOP plan will indeed cause just that.

I see this as a moral problem on the part of the GOP and idiots like Orrin Hatch. Apparently Hatch objects to Bernie's rhetoric, but if hot rhetoric is what it takes to deter the GOP from a policy that will in fact cause many deaths, it seems to me to be a duty.

This is becoming a war of words America cannot afford to lose.

Of course this will in the end expand it's boundaries as an issue. Do Americans have a right to decent health care, or just a privileged, a privileged withdrawn if it means the rich lose tax cuts. Do Americans deserve clean air, water and food even if that takes strong regulation?

Should any political policy be examined for it's morality in this fashion? And to what extent? It is obvious that the current members of the GOP side of Congress don't care.
Since you posted this in M&P instead of PD, you presumably don't really mean for this thread to just be yet another tedious Republicans-are-evil choir preach, but an actual discussion of moral philosophy. Cool!

I take it your opinion is that Americans have a right to decent health care, not just a privilege, and their right trumps rich people's right to their property. And I take it your opinion is that if you don't have something, so you grab it from somebody else, and then when you try to grab even more from him he sees you coming and tries to hang onto what he has left instead of just letting you have it, then it's his holding onto it that's the cause of whatever problem you have that you were counting on grabbing his stuff to solve for you. Do I have that right?

Assuming I have that right, which moral theory are you relying on to conclude the former, and which theory of causality are you relying on to conclude the latter?

Right to life is a more basic principle than a right to property that is in clear excess of what is needed to sustain the owner's right to life.
And that goes for her stuff as well as "his" stuff.
 
A national health service covers the health of the nation. Those who don't like it should go to Antartica and take plenty of healthy exercise. If people don't care about the other people in their nation, what use are they to anyone? Best shoot them.

Like I said... ideological conflicts.

Me personally, I don't really care so much about ideology when it comes to health service. I just want what's best for me. The best bang for the buck. And national health care does that.

I live in Sweden. We've been doing this now for half a century, and it's a kick-ass system. We've been tweaking it along the way. We made plenty of mistakes. But fixed it. In the 90'ies we reached a sweet spot, and that's what we've had since. At this point it's working great, and there's nothing to fix. This BTW isn't the Swedish model. It's a health care model first developed by the French. They've still got it. 15 years ago (I think it was) the UK switched to the same system, and it's working great.

Why not leave ideology out of this, and just pick whatever system works the best?

Isn't that last statement of yours Utilitararianism--which also emphasized "usefulness" as a standard way of evaluating proposals?
 
I live in Sweden. We've been doing this now for half a century, and it's a kick-ass system. We've been tweaking it along the way. We made plenty of mistakes. But fixed it. In the 90'ies we reached a sweet spot, and that's what we've had since. At this point it's working great, and there's nothing to fix. This BTW isn't the Swedish model. It's a health care model first developed by the French. They've still got it. 15 years ago (I think it was) the UK switched to the same system, and it's working great.

Why not leave ideology out of this, and just pick whatever system works the best?

Isn't that last statement of yours Utilitararianism--which also emphasized "usefulness" as a standard way of evaluating proposals?
"Utilitarianism" does not mean "Maximize total Swedish happiness."

I take it your opinion is that Americans have a right to decent health care, not just a privilege, and their right trumps rich people's right to their property. And I take it <snip>
Assuming I have that right, which moral theory are you relying on to conclude the former...?

Right to life is a more basic principle than a right to property that is in clear excess of what is needed to sustain the owner's right to life.
If right to life is a more basic principle than a right to property that is in clear excess of what is needed to sustain the owner's right to life, then how do you figure the American people have a right to confiscate property from its owners and treat it as if it were their own property, spending it on health care for themselves, when foreigners have a right to life too, and far more need of that property?

And that goes for her stuff as well as "his" stuff.
Check your privilege.
 
Like I said... ideological conflicts.

Me personally, I don't really care so much about ideology when it comes to health service. I just want what's best for me. The best bang for the buck. And national health care does that.

I live in Sweden. We've been doing this now for half a century, and it's a kick-ass system. We've been tweaking it along the way. We made plenty of mistakes. But fixed it. In the 90'ies we reached a sweet spot, and that's what we've had since. At this point it's working great, and there's nothing to fix. This BTW isn't the Swedish model. It's a health care model first developed by the French. They've still got it. 15 years ago (I think it was) the UK switched to the same system, and it's working great.

Why not leave ideology out of this, and just pick whatever system works the best?

Isn't that last statement of yours Utilitararianism--which also emphasized "usefulness" as a standard way of evaluating proposals?

No, it's not. Because this is measurable. Utilitarianism isn't, by definition, since it compares subjective values, happiness and suffering.

I'm not comparing happiness and suffering. I'm looking at the money. Or more specifically, I'm looking at it as a system to optimise. It has to do with the nature of health care.

We don't need health care all the time. But we want access to it when we do. We all agree that this access needs to be paid for somehow. And we all agree that sooner or later we're all going to need to take a trip to the doctor. It's also a negative cost. Going to the doctor when we don't need it is worthless. Not counting the handful of crazies who go to the doctor because they're lonely. There's loads of factors here to play around with to make the perfect system.

Fundamentally it's about optimising incentives. In the American system doctors have an incentive to make patients happy. They have an incentive to use drugs, since that will make the patient and drug company happy. And the insurance company gets the bill. Patients have no fucking clue what treatment they need. It's Dunning-Kruger. The result will be over-medicated patients.

This is why a purely free market approach to health care is bad. And which it is becoming increasingly rare in the world.

Preventative health care is cheap as hell. It's also preferable since the patient doesn't become sick as much. In the American system there's zero incentive for any party to push for it. In a socialist health care system the government has every incentive to push for it. It's just better incentives.

So it's not a question of creating the greatest amount of happiness. It's simply about not wasting money and lives.

- - - Updated - - -

"Utilitarianism" does not mean "Maximize total Swedish happiness."

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To pay twice as much for private insurance and condemn the poor to death is so sick I don't see why you are getting involved in such bullshit. America is dominated by money-mad clowns, and it seems a silly arrangement.

I don't think the money madness is the problem. How is USA more money mad than Sweden? We both want the same thing. We both want good value top-notch health care. We don't like waste. Economically, Sweden is stronger than it's ever been. If we'd put welfare above economic growth, Sweden wouldn't be economically strong. So that's not the difference.


America wastes hugely - they pay twice as much for a totally inefficient, death-dealing system as we pay for the NHS.
 
I don't think the money madness is the problem. How is USA more money mad than Sweden? We both want the same thing. We both want good value top-notch health care. We don't like waste. Economically, Sweden is stronger than it's ever been. If we'd put welfare above economic growth, Sweden wouldn't be economically strong. So that's not the difference.


America wastes hugely - they pay twice as much for a totally inefficient, death-dealing system as we pay for the NHS.

Doesn't that make USA less money mad than England or Sweden?

It looks to me like they've chosen to have other/higher ideals than cheap and good health care. It's a democracy. So it's hard to judge. It just comes across as a little stupid.
 
America wastes hugely - they pay twice as much for a totally inefficient, death-dealing system as we pay for the NHS.

Doesn't that make USA less money mad than England or Sweden?

It looks to me like they've chosen to have other/higher ideals than cheap and good health care. It's a democracy. So it's hard to judge. It just comes across as a little stupid.

Totally obsessed with 'winning' at whatever cost to society or their neighbours - a more than usually obvious example of the footling waste capitalism imposes. Democracy, my arse!
 
Doesn't that make USA less money mad than England or Sweden?

It looks to me like they've chosen to have other/higher ideals than cheap and good health care. It's a democracy. So it's hard to judge. It just comes across as a little stupid.

Totally obsessed with 'winning' at whatever cost to society or their neighbours - a more than usually obvious example of the footling waste capitalism imposes. Democracy, my arse!

I'm confused now. What exactly is USA winning?
 
Totally obsessed with 'winning' at whatever cost to society or their neighbours - a more than usually obvious example of the footling waste capitalism imposes. Democracy, my arse!

I'm confused now. What exactly is USA winning?


The US is just a capitalist area - a place where the very rich have fixed everything so that they always get money from all the others.
 
I'm confused now. What exactly is USA winning?


The US is just a capitalist area - a place where the very rich have fixed everything so that they always get money from all the others.

And seem to live only for a vacant struggle to be richer than the Joneses - a place of footling idiocy from any human viewpoint , surely?
 
The US is just a capitalist area - a place where the very rich have fixed everything so that they always get money from all the others.

And seem to live only for a vacant struggle to be richer than the Joneses - a place of footling idiocy from any human viewpoint , surely?

But USA is a democracy and most people aren't rich. I think the difference is ideological. Most people who vote for this system aren't the rich people making money off it.

I think the assumption is that only if people are making money off it will they make an effort to do a good job. But if it was true Americans would live longer than Europeans. But they don't. So the assumption is wrong. I think that's what's going on.

It's not greed. It's ideology IMHO.
 
And seem to live only for a vacant struggle to be richer than the Joneses - a place of footling idiocy from any human viewpoint , surely?

But USA is a democracy and most people aren't rich. I think the difference is ideological. Most people who vote for this system aren't the rich people making money off it.

I think the assumption is that only if people are making money off it will they make an effort to do a good job. But if it was true Americans would live longer than Europeans. But they don't. So the assumption is wrong. I think that's what's going on.

It's not greed. It's ideology IMHO.

It is composed of incredible mugs who believe they will become rich. In what sense is a country a democracy where the rich can buy elections?
 
But USA is a democracy and most people aren't rich. I think the difference is ideological. Most people who vote for this system aren't the rich people making money off it.

I think the assumption is that only if people are making money off it will they make an effort to do a good job. But if it was true Americans would live longer than Europeans. But they don't. So the assumption is wrong. I think that's what's going on.

It's not greed. It's ideology IMHO.

It is composed of incredible mugs who believe they will become rich. In what sense is a country a democracy where the rich can buy elections?

The rich win election win by buying media time and nagging people. But there's only so much you can talk people into. There's limits. And that's what makes it a democracy. No democracy is perfect. There will always be an elite in power. There's nothing wrong or undemocratic about that.

Yes, there's a myth in the USA that everybody can become rich if they just work hard enough. Who are we supposed to blame for that wide spread myth? Every culture have bullshit myths about itself.
 
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